The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
The right ventricle then pumps the blood back out of the heart into the lungs to be replenished with oxygen. Right-sided or right ventricular (RV) heart failure usually occurs as a result of left-sided failure. When the left ventricle fails, increased fluid pressure is, in effect, transferred back through the lungs, ultimately damaging the heart's right side.
Symptoms and Signs. People with congestive heart failure sometimes do not suspect a problem with their heart or have symptoms that may not obviously be from the heart. 1  Early symptoms may include shortness of breath, cough, or a feeling of not being able to get a deep breath, especially when lying down. Shortness of breath. 2  If a person has congestive heart failure, he or she may have difficulty breathing (dyspnea), especially when he or she is active. 3  Ordinary activities, such as sweeping or even walking around the house, may be difficult or impossible.